As virus begins to spread through country’s rural areas, true toll of pandemic is becoming apparent

The first official cases of coronavirus arrived at Niramaya hospital in Mumbai in early May, but they did not come as much of a surprise to Dr Amit Thadhani.

Thadhani, the hospital director, had suspected for weeks that the virus was being virulently transmitted in India’s financial capital, home to 20 million people, after seeing a steady stream of patients with unseasonable viral symptoms. But strict testing restrictions – and a vehement government denial of community transmission – meant he had no way to prove or prevent it.

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